| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,594.00 | $3,594.00 | $3,594.00 | |
Cigna
| Facility | $22,047.38 | $22,047.38 | $22,047.38 | |
HMSA
| Facility | $13,019.00 | $15,212.00 | $17,714.00 | |
United
| Facility | $3,775.00 | $3,775.00 | $3,775.00 |